Disability

What You Need to Know About Disability Claims Definitions

Much has been published in the mainstream media about the fact that disability income insurance claims have increased dramatically over the last several years, along with a disproportionate number of inappropriate claims denials. And the claims departments of many insurance companies have been told to “tighten-up.” Claims that would have once been routinely paid are now being denied due to industry trends, misunderstandings, lack of consumer knowledge, inability to contest, and lower returns on investment.

Risk Management Issues in Short Term Disability

Presentation from the SOA '10 Health Meeting, held on June 28–30, in Orlando, FL.

Disability Insurance and the Great Recession

Presentation from the SOA '10 Health Meeting, held on June 28–30, in Orlando, FL.

Overinsurance Risk in Disability Insurance

Presentation from the SOA '10 Health Meeting, held on June 28–30, in Orlando, FL.

UNUM: Pregnancy, Cancer Lead Disability Causes

Cancer and complications from pregnancy were the top causes of long term disability claims filed with Unum Group Corp. in 2009.

Out Of Joint: The Hartford's Research Shows Aching Backs, Worn-out Knees, Painful Feet Keep Many Off The Job

Every day Americans rely on their bones and muscles for strength, energy and mobility to help them get their job done. But research by The Hartford Financial Services Group, Inc. shows workers' framework is showing wear and tear.

Group vs. Individual Long-term Disability

Is an employer really doing his employees (or himself for that matter) a favor by providing them with employer-paid group long-term disability (LTD) insurance coverage?

You betcha, maybe!

Choosing the Perfect DI Prospect

In response to the lagging economy and lackluster life sales, many producers are renewing their focus on disability insurance (DI) as an income-bolstering strategy. It’s a good plan because now, more than ever before, American workers understand the serious need for income protection. If you haven’t dipped your toe in the DI pool, now’s the time! If you’re unsure how to get started, here’s a quick rundown on how to choose the perfect DI prospect.

Out Of Joint: The Hartford's Research Shows Aching Backs, Worn-out Knees, Painful Feet Keep Many Off The Job

Every day Americans rely on their bones and muscles for strength, energy and mobility to help them get their job done. But research1 by The Hartford Financial Services Group, Inc. (NYSE: HIG) shows workers' framework is showing wear and tear.

Nearly one in four employees on a short-term disability claim were unable to work due to a disabling illness impacting their skeleton or muscles, specifically backs, knees and feet, according to an analysis of nearly 750,000 short-term disability claims by the leading U.S. seller of group disability insurance.

NAIC Panel Review Individual Disability Standards

A subgroup at the National Association of Insurance Commissioners will be holding a conference call on the rules that govern individual disability insurance policies, riders and applications.

The National Standards Working Group, part of the Executive Committee at the NAIC, Kansas City, Mo., plans to hold a disability income subgroup call June 8.

JHA: 2009 Individual DI Sales Fall 11%

Revenue from sales of new individual disability insurance fell 11% in 2009, to $339 million.

Researchers at JHA, the disability and group life reinsurance division of General Re Life Corp. Stamford, Conn., have reported those figures in a summary of results from a survey of 15 U.S. individual DI carriers.

The survey includes non-cancelable, guaranteed renewable and buy-sell transactions.

An Introduction to Forensic AD&D Claim Investigation

The popularity of the multiple CSI television shows and similar real-life (and death) cable programs have raised the public's awareness of forensic science. Insurance companies have also noticed and forensic claim investigations are becoming a normal part of the business, especially in the area of AD&D claims where it is important to determine if a death was accidental according to the terms of the policy.

Making Wine and Claim Audit Design

Just as with a disability claim operation, new varieties of grapes require intensive quality assurance practices.

The New SOA GLTD Experience Table

Over the past two years, the Society of Actuaries’ Group Long Term Disability Experience Study Committee has gathered and analyzed group long term disability (GLTD) claim termination experience. The goal of the study is to create experience and valuation tables. The SOA Experience Study committee is comprised of SOA staff members, industry actuaries, and consultants. This article summarizes the past and current efforts and looks at next steps in the process.

Disability Insurance Community Combs Through New Health Acts

When President Obama signed the two big health bills into law in March, he may have changed the U.S. disability insurance market in ways that providers, producers and customers cannot yet start to imagine.

Drew King, president of JHA, Portland, Maine, a disability reinsurance and consulting firm, talked about the potential impact of a health reform bill in March, before the bills had become law.

Using the Web for Claims Investigations

It seems that everyone is interested or at least has heard of Facebook, Twitter, My Space and other social networking sites. Undoubtedly, they are becoming more and more populari and bringing the world in which we live closer together. These new networks provide an overabundance of possibilities to keep "friends" (real or virtual) informed of our daily status, our activities and even our whereabouts should we chose to do so. This level of sharing has led to the creation of an electronic evidence trail of a user's thoughts and activities including photos as created and recorded by the user. Insurance companies have caught on and have started to "surf" the web to gather information with respect to claimants as part of the claims adjudication process. Telephone interviews and video surveillance do not seem to be enough anymore.

JHA Announces 2009 U.S. Group Life and Disability Market Survey Results

JHA has released the results of the 2009 U.S. Group Life Market Survey and the 2009 U.S. Group Disability Market Survey. These leading annual industry benchmark surveys cover Group Term Life, Accidental Death & Dismemberment (AD&D), Short Term Disability (STD), and Long Term Disability (LTD) inforce and sales premium results for 2009. Thirty-three insurance carriers participated in the Life Survey, and 27 carriers participated in the Disability Survey. For a summary of the results: http://www.jhaweb.com/jhavir/docs/studies/marksur/groupltd/curr/2009%20S...

To Evaluate Small Business Owner Prospects, Study Financials

The secret to finding small business owners who are good disability insurance risks even in the middle of the Great Recession is that there is no secret, according to Ernest Smith in a breakout session on “financial underwriting” in turbulent times at a disability insurance conference organized by JHA, Portland, Maine, a unit of General Re Life Corp., Stamford, Conn.

Disability Insurance: Claim Denied

It's a fact that disability income insurance (DI) claims have increased dramatically over the last several years, along with a disproportionate number of inappropriate denials. The claims departments of too many insurance companies have been told to "tighten-up." Claims that once would have been routinely paid are now being denied due to industry trends, contractual misunderstandings and consumer lack of knowledge and inability to contest.

QuickStats: Percentage of Injuries that Resulted in Time Lost from Work or School: National Health Interview Survey, US, 2004-2007

During 2004--2007, an average of 15.7 million injuries were reported per year among employed persons. Half of these injuries resulted in time lost from work: 8% resulted in <1 day of time lost, 26% resulted in 1--5 days lost, and 16% resulted in ≥6 days lost. An average of 8.7 million injuries were reported per year among persons who attended school. Approximately one third of these injuries resulted in time lost from school: 9% resulted in <1 day of time lost, 22% resulted in 1--5 days lost, and 3% resulted in ≥6 days lost.

Communicating the Risk of Long-Term Disability

Good statistics are important, but they aren’t enough. People need to trust the source.

JHA Speakers: Share Data On 9-11-Related Mental Health Claims

An insurance group should support a project to find out how terrorist attacks, economic disasters and natural disasters affect the likelihood that U.S. residents with disability insurance will suffer from disabling mental health problems.

Experience Rating: How Much Do You Really Know?

What does a group's LTD experience really tell you? How much of the experience is a "known known" versus a "known unknown"? The goal of experience rating is to predict future results based on past experience. This, in itself, is both art and science as the past may not lead to similar results in the future. But one often overlooked issue is the certainty of past experience.

2008 Long-Term Disability Experience Study & Tables

The Society of Actuaries' Group Disability Insurance Experience Committee has completed their study of termination experience for the period 1997-2006.

New CIGNA Study Uncovers Relationship of Disabilities to Total Benefits Costs

CIGNA has released the findings of a new study that reveal an unmistakable trend: Integrating disability with health care programs has the potential to lower employers' total benefits costs and help disabled employees get back to work sooner and stay at work. As a result of the positive results found in the study, CIGNA is lowering its prices on disability benefits purchased with CIGNA medical coverage.

Pre-Game Coverage

Agents help prospective athletes insure their future—even before they’re eligible to turn pro.

JHA Announces 2009 U.S. Group Life and Disability

JHA, a division of Gen Re LifeHealth, is pleased to release the results of the 2009 U.S. Group Life and Group Disability Mid-Year Market Surveys. These leading industry benchmark surveys cover Group Term Life (Basic Term Life and Voluntary Term Life), Short Term Disability (STD) and Long Term Disability (LTD) sales and earned premium for the first half of the year.

JHA: 2008 US Group Disability Market Survey

Summary report provided at the JHA site. Mid-year summary and 2008 Individual summary report available as well.

Prior years' (2006 and 2007) summaries available at http://www.jhaweb.com/jsite/research/studies.aspx.

Underwriting Risks During a Downturn (Best's Review, May 2009)

Underwriters are seeing requests from clients to modify policy provisions in advance of anticipated layoffs. By Eric Swanson, Senior Marketing Underwriter, ING Reinsurance. Reprinted from May 2009 Best's Review.

2Q 2009 ROSE Resource (ING Re)

  • Success Beyond Infertility Treatment
  • Cognitive Changes Associated with Chemotherapy
  • Radiology Benefit Management: A Primer for Health Plans
  • When is the Right Time to Treat HIV Infection?
  • Earn CEUs through ING Reinsurance Teleconferences

2Q 2009 ING Reinsurance Disability Forum

  • Disabled by Illness, Injury, or the Economy
  • Disability Reserve Adequacy: Why So Messy?
  • Re-assessment of Inherent Conflict of Interest and Bias in the Claims Review Process: Practical Insights from the Supreme Court Decision in MetLife v. Glenn
  • Research Update 2nd Quarter 2009
  • Upcoming Disability Insurance Meetings

JHA Announces 2008 US Group Life and Disability Market Survey Results

JHA, a division of Gen Re LifeHealth, is pleased to release the results of the 2009 U.S. Group Life and Group Disability Mid-Year Market Surveys. These leading industry benchmark surveys cover Group Term Life (Basic Term Life and Voluntary Term Life), Short Term Disability (STD) and Long Term Disability (LTD) sales and earned premium for the first half of the year.

Depression and Work Related Disability: an introduction

Article on p. 19 of the newsletter of the Australian Life Underwriters and Claims Association.

Trends in Group Disability – Trying to Stay Ahead of the Curve

To spot a trend in clothing, you check out the fashionista as they flicker about with flair and flash, but how do you discover trends in group disability? I’ve yet to meet a case managerista and I am not really sure I want to (I’ve heard there might be a few in Toronto), says ING Re's Mark Taylor.

The Underwriter Value Proposition – A Consultant’s Perspective

Underwriters offer a critical perspective in the client service delivery process. And, while most underwriters identify themselves as being in the risk business, the great ones realize that they are also in the service business.

Develop Claimant-Specific Disabled Life Reserves with Predictive Modeling

Think back – do you remember at least one quarter where your company’s financial results were well below plan as a result of far more than expected new LTD claims? Do you also remember when, a couple of quarters later, the financial results were excellent, as many of these new claims terminated when they had proved to be not very severe?

LTD – Let Insurance Companies Insure

Underwriting insight from ING Re's Disability Forum newsletter.

Guy Carpenter: Reinsurers Like LTD

Good claims experience has helped bring down life and health reinsurance prices.

A consultant at Guy Carpenter & Company L.L.C., New York, gives that assessment in a mid-year review of the life and health reinsurance market.

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